Primary Care - Fraser Health

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How do providers and patients benefit?• For providers, the Shared Comprehensive Care Plan enables more coordinated patient managementand follow-up. It reduces duplication and saves time, leading to greater efficiencies and satisfactionfor GPs and providers.• The plan enables patients to partner with providers to plan and manage care, and to set and meettargets. It provides tools and knowledge to help patients prevent and self-manage conditions, with theaim of improving their health outcomes.When and where is this being implemented?• A test version of the Shared Comprehensive Care Plan is being piloted in 2009 in practices in theiConnect Health Network, before it is extended to all communities.• The Shared Comprehensive Care Plan is not vendor-specific. It is designed to work with variousapplications currently being used by practices throughout the region.• Implementation is supported by a dedicated coordinator, who trains the practice team and associatedhealth care partners on the software.Opportunities for GPs to participateAfter an assessment of the effectiveness of the pilot, the Shared Comprehensive Care Plan will be extendedbeyond the pilot practices. Meanwhile, interested GPs are encouraged to put forward feedback, suggestionsor questions, to help ensure the work meets the needs of providers.Contact informationByron Salahor, Project CoordinatorEmail Address: Byron.Salahor@fraserhealth.caPhone Number: 604.517.8633PC.04.21.09
Measurement, Evaluation & AccountabilityTracking the effectiveness ofprograms for providers andpatientsA dedicated team of evaluation expertsmeasures progress regularly to ensure thatGPs and patients are benefiting from PrimaryCare programs and funding.What is the purpose of evaluation?An established evaluation team skilled in quality improvement and information management tracks FraserHealth’s primary care programs for their effectiveness, with the implementation of:• Tangible, measurable objectives to guide teams and providers.• Early indicators of needs to make project adjustment or changes.• Tools to measure outcomes, success and viability for the future.How does it work?The evaluation unit plays a key role in moving Primary Care initiatives forward, and for obtaining fundingfrom the Province for services in the Fraser Health region.A manager and five project coordinators work with physicians and planners to implement evaluationstrategies for all primary care and chronic care development programs. This includes establishing evidencebasedmeasurement systems, and patient and GP informed consent processes.The unit also collaborates with the Ministry of Health Services, other health authorities and nongovernmentalorganizations to evaluate joint initiatives such as:• The iConnect Health Network• The Practice Support Program• Provincial Stroke CareThe introduction of a new electronic Shared Care Plan (now in the testing stage) will further improve theavailability and quality of information for program evaluation and knowledge management (e.g. outcomesorientedDiabetes, CHF, and hypertension reports).… continued on reverse →PC.04.21.09
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Primary Care - Fraser Health

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